NORTON - KINGS DAUGHTERS HEALTH INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- NORTON - KINGS DAUGHTERS HEALTH INC (EIN 35-0895832)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-02
- IRS object ID
- 202213069349300026
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-02T10:30:56-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351178661 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2650 EASTPOINT PKWY SUITE 300 | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40223 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 350895832 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTON - KING'S DAUGHTERS' HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 8128010800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1373 EAST STATE ROAD 62 PO BOX 447 | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47250 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DARLEEN CONNOLLY | PersonNm |
| Person Title | BOARD CHAIRWOMAN | PersonTitleTxt |
| Phone | 8128010800 | PhoneNum |
| Signature | 2022-11-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DARLEEN | PersonFirstNm |
| Person Last | CONNOLLY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NATHAN A RODGERS CPA | PreparerPersonNm |
| PTIN | P01568275 | PTIN |
| Phone | 5029923500 | PhoneNum |
| Preparation | 2022-11-01 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KING'S DAUGHTERS' HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN PRICE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1373 EAST STATE ROAD 62 PO BOX 447 | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47250 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $226,791,362 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KDHMADISON.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1899 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH OF THE HOSPITAL'S PATIENTS THROUGH CARE, SERVICE, AND EDUCATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1102 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $49,635 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $32,687 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $13,788,547 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,369,853 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $119,279,872 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $145,093,966 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,749,825 | PYInvestmentIncomeAmt |
| CY Investment Income | $22,031,572 | CYInvestmentIncomeAmt |
| PY Other Revenue | $439,482 | PYOtherRevenueAmt |
| CY Other Revenue | $409,944 | CYOtherRevenueAmt |
| PY Total Revenue | $141,257,726 | PYTotalRevenueAmt |
| CY Total Revenue | $171,905,335 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $11,705 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $23,579 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $62,868,207 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $71,842,418 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $107,563 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $60,078,380 | PYOtherExpensesAmt |
| CY Other Expenses | $65,268,265 | CYOtherExpensesAmt |
| PY Total Expenses | $122,958,292 | PYTotalExpensesAmt |
| CY Total Expenses | $137,134,262 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $18,299,434 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $34,771,073 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $327,672,291 | TotalAssetsBOYAmt |
| Total Assets EOY | $360,802,224 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $101,060,585 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $99,917,079 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $226,611,706 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $260,885,145 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF THE HOSPITAL IS TO IMPROVE THE HEALTH OF THE HOSPITAL'S PATIENTS THROUGH CARE, SERVICE, AND EDUCATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $105,389,487 | ExpenseAmt |
| Grant | $23,579 | GrantAmt |
| Revenue | $145,138,874 | RevenueAmt |
| Desc | NORTON - KING'S DAUGHTERS' HEALTH, INC. IS A NOT-FOR-PROFIT, ACUTE CARE HOSPITAL LOCATED IN MADISON, INDIANA. THE HOSPITAL IS ORGANIZED FOR THE PURPOSE OF PROVIDING HEALTHCARE SERVICES TO THE RESIDENTS OF JEFFERSON COUNTY AND THE SURROUNDING AREA.DURING THE CALENDAR YEAR 2021, THE HOSPITAL PROVIDED HEALTHCARE TO PATIENTS AT THE FOLLOWING LEVELS:10,786 DAYS OF CARE TO ACUTE INPATIENTS997 DAYS OF CARE TO NEWBORN INFANTS210,482 ASSOCIATED WITH HOSPITAL OUTPATIENTS131,028 VISITS ASSOCIATED WITH PHYSICIAN CLINICS | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THE HOSPITAL'S PRIMARY SOURCES OF SUPPORT ARE FROM PATIENT REVENUES. PATIENT REVENUES INCLUDE FUNDS RECEIVED FROM MEDICARE, STATE AGENCIES, INSURANCE COMPANIES, AND THE PATIENTS THEMSELVES. IN 2021, KING'S DAUGHTERS' HEALTH PROVIDED SERVICES TOTALING $1,742,749 IN GROSS CHARGES TO PATIENTS WHO MET THE HOSPITAL'S CHARITY CARE POLICY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $105,389,487 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 67 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1102 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAWN NUNAN DIRECTOR OF ACCOUNTING | PersonNm |
| Phone | 8128010800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1373 EAST STATE ROAD 62 PO BOX 447 | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47250 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ANNIE SCHROEDER | ||||||||
| BOARD CHAIRWOMAN | 1.00 | Yes (X) | $1,000 | $0 | $0 | |||
| DARLEEN CONNOLLY | ||||||||
| BOARD VICE-CHAIRWOMAN | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SUSAN OHLENDORF | ||||||||
| BOARD SECRETARY | 1.00 | Yes (X) | $1,000 | $0 | $0 | |||
| MARY BETTE VOYLES | ||||||||
| BOARD TREASURER | 1.00 | Yes (X) | $1,000 | $0 | $0 | |||
| BONNIE COLEN | ||||||||
| BOARD ASSN'T SECRETARY | 1.00 | Yes (X) | $1,000 | $0 | $0 | |||
| SHARYN WHITMAN | ||||||||
| BOARD ASSN'T TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JONATHAN HANSON MD | ||||||||
| BOARD MEMBER/PHYSICIAN | 40.00 | Yes (X) | $456,098 | $0 | $37,774 | |||
| TINA HENDRICK MD | ||||||||
| BOARD MEMBER/PHYSICIAN | 40.00 | Yes (X) | $307,511 | $0 | $15,578 | |||
| JOE CRAIG | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARY KAY MCCUBBIN | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN TURNER | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CAROL DOZIER | ||||||||
| PRESIDENT/CEO | 40.00 | $421,792 | $0 | $14,855 | 1.00 | Yes (X) | ||
| JOHN PRICE | ||||||||
| VP FINANCE | 40.00 | $275,183 | $0 | $20,068 | Yes (X) | |||
| LISA MORGAN | ||||||||
| VP OUTPATIENT SERVICES | 40.00 | $230,754 | $0 | $17,848 | Yes (X) | |||
| DENINE FALLIS-HALLGARTH | ||||||||
| VP PHYSICIAN PRACTICES | 40.00 | $178,402 | $0 | $16,806 | Yes (X) | |||
| JENNIFER LITER | ||||||||
| VP INPATIENT SERVICES | 40.00 | $180,474 | $0 | $33,627 | Yes (X) | |||
| NATHAN POLLEY MD | ||||||||
| EMPLOYED PHYSICIAN | 40.00 | $1,151,724 | $0 | $36,658 | Yes (X) | |||
| THOMAS ECKERT MD | ||||||||
| EMPLOYED PHYSICIAN | 40.00 | $695,765 | $0 | $23,887 | Yes (X) | |||
| KENNETH MACKINLAY MD | ||||||||
| EMPLOYED PHYSICIAN | 40.00 | $674,516 | $0 | $36,658 | Yes (X) | |||
| RAYMONDA STEVENS MD | ||||||||
| EMPLOYED PHYSICIAN | 40.00 | $966,520 | $0 | $14,250 | Yes (X) | |||
| WILLIAM SKILES MD | ||||||||
| EMPLOYED PHYSICIAN | 40.00 | $448,843 | $0 | $29,188 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,991,582 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $297,197 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 85 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ARUP LABORATORIES | |||||
| PO BOX 27964 | SALT LAKE CITY | UT | 84127 | LABORATORY SERVICES | $1,092,111 |
| KAUFMAN HALL & ASSOCIATES | |||||
| 5202 OLD ORCHARD ROAD STE N700 | SKOKIE | IL | 60077 | FINANCIAL CONSULTING SERVICES | $1,055,719 |
| EMCARE INC | |||||
| 7032 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | CONTRACTED PHYSICIAN & MID LEVEL PROVIDE | $975,865 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | CONTRACTED PHYSICIAN & MID LEVEL PROVIDE | $799,479 |
| HALL RENDER KILLIAN HEATH & LYMAN P | |||||
| PO BOX 714570 | CINCINNATI | OH | 45271 | LEGAL SERVICES | $768,338 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 38 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $199,072 | RelatedOrganizationsAmt |
| Government Grants | $4,014,985 | GovernmentGrantsAmt |
| All Other Contributions | $155,796 | AllOtherContributionsAmt |
| Noncash Contributions | $15,778 | NoncashContributionsAmt |
| Total Contributions | $4,369,853 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $145,093,966 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $145,093,966 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $145,093,966 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,968,454 | TotalRevenueColumnAmt |
| Exclusion | $3,968,454 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $52,445 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $23,286 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $29,159 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,159 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,159 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $72,355,131 | SecuritiesAmt |
| Other | $570,728 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $54,856,748 | SecuritiesAmt |
| Other | $5,993 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $17,498,383 | SecuritiesAmt |
| Other | $564,735 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,063,118 | TotalRevenueColumnAmt |
| Exclusion | $18,063,118 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA REVENUE | 722210 | $314,963 | $314,963 | |
| LAB | 621500 | $32,738 | $32,738 | |
| GIFT SHOP | 453220 | $438 | $438 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,646 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,749 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $16,897 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $380,785 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $171,905,335 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $145,138,874 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $49,635 | UnrelatedBusinessRevenueAmt |
| Exclusion | $22,346,973 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,579 | TotalAmt |
| Program Services | $23,579 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,210,769 | TotalAmt |
| Program Services | $1,699,005 | ProgramServicesAmt |
| Management And General | $511,764 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,247,765 | TotalAmt |
| Program Services | $42,375,972 | ProgramServicesAmt |
| Management And General | $12,764,230 | ManagementAndGeneralAmt |
| Fundraising | $107,563 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,279,363 | TotalAmt |
| Program Services | $1,751,721 | ProgramServicesAmt |
| Management And General | $527,642 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,548,100 | TotalAmt |
| Program Services | $6,569,327 | ProgramServicesAmt |
| Management And General | $1,978,773 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,556,421 | TotalAmt |
| Program Services | $2,733,156 | ProgramServicesAmt |
| Management And General | $823,265 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $846,620 | TotalAmt |
| Management And General | $846,620 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $318,720 | TotalAmt |
| Management And General | $318,720 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $724,699 | TotalAmt |
| Management And General | $724,699 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,815 | TotalAmt |
| Program Services | $84,815 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,242 | TotalAmt |
| Program Services | $126,991 | ProgramServicesAmt |
| Management And General | $38,251 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $530,598 | TotalAmt |
| Program Services | $407,772 | ProgramServicesAmt |
| Management And General | $122,826 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,710 | TotalAmt |
| Program Services | $35,897 | ProgramServicesAmt |
| Management And General | $10,813 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,051,636 | TotalAmt |
| Program Services | $1,576,709 | ProgramServicesAmt |
| Management And General | $474,927 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,237 | TotalAmt |
| Program Services | $73,191 | ProgramServicesAmt |
| Management And General | $22,046 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,073,013 | TotalAmt |
| Program Services | $3,898,677 | ProgramServicesAmt |
| Management And General | $1,174,336 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,463,536 | TotalAmt |
| Program Services | $6,504,339 | ProgramServicesAmt |
| Management And General | $1,959,197 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,646,721 | TotalAmt |
| Program Services | $1,265,527 | ProgramServicesAmt |
| Management And General | $381,194 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $13,462,350 | $10,345,993 | $3,116,357 |
| DRUGS | $11,936,854 | $11,936,854 | |
| SUPPLIES | $9,350,333 | $7,185,854 | $2,164,479 |
| HOSPITAL ASSESSMENT FEE | $4,567,032 | $4,567,032 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,904,149 | TotalAmt |
| Program Services | $2,227,076 | ProgramServicesAmt |
| Management And General | $3,677,073 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,134,262 | TotalAmt |
| Program Services | $105,389,487 | ProgramServicesAmt |
| Management And General | $31,637,212 | ManagementAndGeneralAmt |
| Fundraising | $107,563 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,524 | BOYAmt |
| EOY | $9,230 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,905,533 | BOYAmt |
| EOY | $25,181,101 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,759,153 | BOYAmt |
| EOY | $15,510,341 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,363 | BOYAmt |
| EOY | $57,908 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,309,750 | BOYAmt |
| EOY | $887,443 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,056,386 | BOYAmt |
| EOY | $3,253,610 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,752,074 | BOYAmt |
| EOY | $1,708,255 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $188,316,065 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $101,683,575 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,093,824 | BOYAmt |
| EOY | $86,632,490 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,274,988 | BOYAmt |
| EOY | $219,392,303 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,486,696 | BOYAmt |
| EOY | $8,169,543 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,672,291 | BOYAmt |
| EOY | $360,802,224 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,737,204 | BOYAmt |
| EOY | $10,449,107 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,810 | BOYAmt |
| EOY | $8,421 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,181,804 | BOYAmt |
| EOY | $86,193,262 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $569,952 | BOYAmt |
| EOY | $806,393 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,401,815 | BOYAmt |
| EOY | $2,459,896 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,060,585 | BOYAmt |
| EOY | $99,917,079 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $226,591,151 | BOYAmt |
| EOY | $260,864,458 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,555 | BOYAmt |
| EOY | $20,687 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $226,611,706 | BOYAmt |
| EOY | $260,885,145 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,672,291 | BOYAmt |
| EOY | $360,802,224 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $34,771,073 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$436,392 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$61,242 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $10,944 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,944 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | "AMERCIAN HOSPITAL ASSOCIATION DUES AND INDIANA HOSPITAL ASSOCIATION DUES ATTRIBUTABLE TO LOBBYING EXPENSES AS DISCLOSED ON THE DUES NOTICES OF THE RESPECTIVE ASSOCIATIONS. AHA MEMBERSHIP DUES $28,110 X LOBBYING PERCENTAGE OF 26.47% = $7,441 IHA MEMBERSHIP DUES $42,774 X LOBBYING PERCENTAGE OF 8.19% = $3,503" | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,555 | BeginningYearBalanceAmt |
| Contributions | $3,656 | ContributionsAmt |
| Other Expenditures | $3,524 | OtherExpendituresAmt |
| End Year Balance | $20,687 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,121 | BeginningYearBalanceAmt |
| Contributions | $15,965 | ContributionsAmt |
| Other Expenditures | $8,531 | OtherExpendituresAmt |
| End Year Balance | $20,555 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,850 | BeginningYearBalanceAmt |
| Contributions | $4,035 | ContributionsAmt |
| Other Expenditures | $3,764 | OtherExpendituresAmt |
| End Year Balance | $13,121 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,957 | BeginningYearBalanceAmt |
| Contributions | $3,208 | ContributionsAmt |
| Other Expenditures | $3,315 | OtherExpendituresAmt |
| End Year Balance | $12,850 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,194 | BeginningYearBalanceAmt |
| Contributions | $28,678 | ContributionsAmt |
| Other Expenditures | $35,915 | OtherExpendituresAmt |
| End Year Balance | $12,957 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.48340 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.51660 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,282,249 | OtherCostOrOtherBasisAmt |
| Book Value | $4,282,249 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $119,412,547 | OtherCostOrOtherBasisAmt |
| Depreciation | $48,370,445 | DepreciationAmt |
| Book Value | $71,042,102 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $64,344,756 | OtherCostOrOtherBasisAmt |
| Depreciation | $53,313,130 | DepreciationAmt |
| Book Value | $11,031,626 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $276,513 | OtherCostOrOtherBasisAmt |
| Book Value | $276,513 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $86,632,490 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION | $34,977 |
| THIRD PARTY PAYABLE | $1,959,325 |
| LIFE INSURANCE POLICIES | $403,713 |
| MEDICARE SETTLEMENT CURRENT YEAR | $61,881 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,459,896 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $170,648,934 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$436,392 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$61,242 | OtherRevenueAmt |
| Revenue Not Reported | -$497,634 | RevenueNotReportedAmt |
| Revenue Subtotal | $171,146,568 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $724,699 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $34,068 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $758,767 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $171,905,335 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $136,375,495 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $136,375,495 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $724,699 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $34,068 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $758,767 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $137,134,262 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | PERMANENT ENDOWMENT - INTENT IS TO HOLD THE INVESTMENT IN PERPETUITY. PER AUDITED FINANCIAL STATEMENTS, "THE PORTION OF PERPETUAL ENDOWMENT FUNDS THAT IS REQUIRED TO BE RETAINED PERMANENTLY EITHER BY EXPLICIT DONOR STIPULATION OR UPMIFA" IS $10,000 AT 12/31/21. OTHER NET ASSETS WITH DONOR RESTRICTIONS INCLUDE FUNDS THAT ARE DONOR-RESTRICTED FOR A SPECIFIC USE INCLUDING: INDIANA CANCER CONSORTIUM GRANT AND HEALTHY INDIANA PLAN 2.0 PREMIUM ASSISTANCE FUND. |
| PART X, LINE 2: | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2021 AND 2020, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, AS OF THE DATE THE FINANCIAL STATEMENTS WERE ISSUED, THERE WERE NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN SUBSCRIBER SAVINGS CUMULATIVE ACCOUNT -61,242. ROUNDING |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | OTHER RENTAL INCOME 10,489. OTHER EXPENSE NETTED WITH INCOME ON FINANCIAL STATEMENTS 23,579. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | OTHER RENTAL INCOME 10,489. OTHER EXPENSE NETTED WITH INCOME ON FINANCIAL STATEMENTS 23,579. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $519,310 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $519,310 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,661,191 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,950,075 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,711,116 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07080 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,180,501 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,950,075 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,230,426 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07460 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $192,970 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $55,864 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $137,106 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $196,911 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,605 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $153,306 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,436,428 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,004,974 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $431,454 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,797 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,797 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,847,106 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,104,443 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $742,663 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00540 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,027,607 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,054,518 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,973,089 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $242,723 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $242,723 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $242,723 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $242,723 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,490,291 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $23,643,776 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $22,360,889 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,282,887 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTON - KING'S DAUGHTERS' HEALTH INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1373 EAST STATE ROAD 62 PO BOX 447 | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47250 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.KDHMADISON.ORG | WebsiteAddressTxt |
| State License | 20-005063-1 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Emergency Room Other | Yes (X) | EmergencyRoomOtherInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTON - KING'S DAUGHTERS' HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.KDHMADISON.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.KDHMADISON.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.KDHMADISON.ORG/PATIENTS-VISITORS/PATIENTS/FINANCIAL-ASSISTANCE/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.KDHMADISON.ORG/FORMS/FINANCIAL-ASSISTANCE-APPLICATION/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.KDHMADISON.ORG/PATIENTS-VISITORS/PATIENTS/FINANCIAL-ASSISTANCE/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| NORTON - KING'S DAUGHTERS' HEALTH, INC. | PART V, SECTION B, LINE 3J: THE NEEDS ASSESSMENT PERFORMED BY THE HOSPITAL ALSO EXPLORED KEY ISSUES SUCH AS: CANCER, DIABETES, HEART DISEASE & STROKE, INJURY & VIOLENCE, MENTAL HEALTH, NUTRITION, PHYSICAL ACTIVITY, WEIGHT, RESPIRATORY DISEASES, SUBSTANCE ABUSE, TOBACCO USE, FAMILY PLANNING, INFANT/CHILD HEALTH, DEMENTIA/ALZHEIMER'S DISEASE, SEXUALLY TRANSMITTED DISEASES, ARTHRITIS/OSTEOPOROSIS/BACK CONDITIONS, ORAL HEALTH/DENTAL CARE, HIV/AIDS, IMMUNIZATION/INFECTIOUS DISEASES, AND HEARING & VISION PROBLEMS. |
| NORTON - KING'S DAUGHTERS' HEALTH, INC. | PART V, SECTION B, LINE 5: THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS IN THE COMMUNITY BY UTILIZING THE FOLLOWING COMPONENTS: TELEPHONE INTERVIEWS OF A RANDOM SAMPLE OF 200 INDIVIDUALS AGE 18 AND OLDER IN THE PRIMARY SERVICE AREA. NOTE THAT THE SAMPLE CONSITED SOLELY OF AREA RESIDENTS AGE 18 AND OLDER. DATA ON CHILDREN WERE GIVEN BY PROXY BY THE PERSON MOST RESPONSIBLE FOR THAT CHILD'S HEALTHCARE NEEDS. ON-LINE KEY INFORMANT SURVEY DIRECTED AT PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BY KING'S DAUGHTERS' BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS THE COMMUNITY OVERALL. THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. |
| NORTON - KING'S DAUGHTERS' HEALTH, INC. | PART V, SECTION B, LINE 7D: RESULTS OF THE NEEDS ASSESSMENT HAVE BEEN MADE AVAILABLE THROUGH A VARIETY OF SOURCES: NEWSPAPER AND RADIO RELEASES, DISTRIBUTION OF INFORMATION IN THE COMMUNITY NEWSLETTER, THE VITAL SIGNS, THROUGH PUBLIC HEALTH FORUMS. IT IS ALSO AVAILABLE ON OUR WEBSITE @ WWW.KDHMADISON.ORG/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT. |
| NORTON - KING'S DAUGHTERS' HEALTH, INC. | PART V, SECTION B, LINE 11: THE HOSPITAL CONDUCTED A NEEDS ASSESSMENT IN 2019 WHOSE IMPLEMENTATION STRATEGY WAS ADOPTED IN MARCH 2020. THE IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2019 NEEDS ASSESSMENT INCLUDED THE FOLLOWING PRIORITY AREAS- SUBSTANCE ABUSE, MENTAL HEALTH, TOBACCO USE, NUTRITION/PHYSICAL ACTIVITY/WEIGHT, DIABETES, HEALTH DISEASE & STROKE, AND CANCER. THIS IMPLEMENTATION STRATEGY WILL GUIDE THE ACTIVITIES FOR THREE CONSECUTIVE YEARS FOLLOWING THE MOST RECENT NEEDS ASSESSMENT (AN UPDATE TO THIS STRATEGY PLAN WILL BE PROVIDED AT THE END OF EACH CALENDAR YEAR (2020, 2021, AND 2022).KDH GAPS: THERE DOES NOT APPEAR TO BE LARGE GAPS IN THE TOPICS OR TYPES OF COMMUNITY OUTREACH PROGRAMS THAT KDH HAS CONDUCTED IN THE PAST. HOWEVER, THERE MAY BE GAPS DUE TO FUNDING LEVELS OR STAFFING LEVELS IN THE NUMBER OF PROGRAMS AND THE GEOGRAPHIC REACH OF THE PROGRAMS THAT HAVE BEEN OFFERED. KDH WILL USE THE LIST OF MAJOR HEALTH ISSUES IN WHICH KDH IS EXPECTED TO HAVE A LEADERSHIP AND SUPPORTING ROLE AS WELL AS THE LIST OF SPECIFIC TOPICS SUGGESTED TO DEVELOP PROGRAMS AND APPLY FOR GRANTS TO IMPROVE HEALTH IN THE COMMUNITIES IT SERVES.IMPLEMENTATION STRATEGY 2020-2022 PRIORITY AREA 1 - SUBSTANCE ABUSE - 2021, YEAR 2 UPDATESTRATEGY: KDH WILL TAKE A LEAD ROLE FOR THE HEALTHY COMMUNITIES INITIATIVE (HCI) SUBSTANCE ABUSE TEAM.OUTCOME: KDH EMPLOYS A PAID HCI COORDINATOR WHO OVERSEES THE HCI SUBSTANCE ABUSE TEAM, SCHEDULING MEETINGS AND SPEAKERS.ADDITIONAL INFORMATION: TWO KDH EMPLOYEES, A PEDIATRICIAN AND A PEDIATRIC SOCIAL WORKER PROVIDED A PRESENTATION AT A SUBSTANCE ABUSE TEAM MEETING IN 2021. DUE TO AN INCREASE IN THE NUMBER OF FENTANYL-LACED PILL OVERDOSE DEATHS, THE TEAM INCREASED PROMOTION OF NALAXONE AVAILABILITY TO THE COMMUNITY.STRATEGY: KDH WILL HAVE STAFF REPRESENTATIVES ACTIVELY SERVING ON THE FOLLOWING COUNTY SUBSTANCE ABUSE COALITIONS: - JCJTAP JEFFERSON COUNTY JUSTICE TREATMENT AND PREVENTION COALITION- SWITZERLAND COUNTY AWARENESS NETWORK AND/OR SIMILAR DRUG COALITIONOUTCOME: KDH HAS 3 EMPLOYEES WHO ACTIVELY SERVE ON THE JCJTAP COALITION. THE COALITION REJOINED IN-PERSON MEETINGS IN 2021. IN ADDITION, THE HCI COORDINATOR REMAINS THE SECRETARY FOR THE COALITION. ADDITIONAL INFORMATION: A GRANT WAS PROVIDED FROM THE COALITION TO PURCHASE ANTI-DRUG MATERIALS TO SHARE WITH AREA YOUTH. ITEMS WERE DISTRIBUTED AT A SPECIAL YOUTH EVENT AND DISTRIBUTED BY THE JUNIOR HIGH SCHOOL RESOURCE OFFICER. THE HCI COORDINATOR AND THREE KDH EMPLOYEES WORKED WITH A NEW STATE INITIATIVE TO CREATE A REGIONAL PREVENTION SYSTEM. A LOCAL CLIENT CONSULTATION BOARD (CCB) WAS FORMED IN JEFFERSON COUNTY IN 2021.STRATEGY: KDH WILL CREATE AND MAINTAIN AN EDUCATION AND COMMUNITY RESOURCE/REFERRAL BULLETIN BOARD FOR THE HOSPITAL EMERGENCY ROOM. OUTCOME: A SUBSTANCE ABUSE RESOURCE BULLETIN BOARD WAS PLACED IN THE EMERGENCY ROOM LOBBY IN 2020. IN 2021, AN ADDITIONAL RESOURCE BOARD WITH SUBSTANCE ABUSE LITERATURE WAS PLACED IN THE KDH CONVENIENT CARE CENTER LOBBY.ADDITIONAL INFORMATION: BOTH RESOURCE BOARDS INCLUDE TOBACCO CESSATION INFORMATION AND LOCAL RESOURCES FOR AA/NA MEETINGS. PRIORITY AREA 2 MENTAL HEALTH 2021, YEAR 2 UPDATE STRATEGY: KDH WILL TAKE A LEAD ROLE FOR THE HEALTHY COMMUNITIES INITIATIVE MENTAL HEALTH/ZERO SUICIDE TEAM. OUTCOME: KDH EMPLOYS A PAID COORDINATOR WHO OVERSEES THE HCI PROGRAM. THE HCI COORDINATOR PARTICIPATES IN THE IN SUICIDE PREVENTION COALITION.ADDITIONAL INFORMATION: IN 2021, A JEFFERSON COUNTY RESIDENTIAL TREATMENT FACILITY SUBCOMMITTEE WAS APPOINTED BY THE JUSTICE REINVESTMENT ADVISORY COUNCIL. THE GROUP IS INVESTIGATING THE FEASIBILITY OF DEVELOPING AN IN-PATIENT FACILITY ALONG WITH OTHER IDEAS TO ADDRESS MENTAL HEALTH ISSUES IN THE COUNTY. THE HCI COORDINATOR SERVES AS A MEMBER OF THIS SUBCOMMITTEE.STRATEGY: KDH STAFF WILL HELP LEAD HCI'S EFFORT TO BECOME A TRAUMA INFORMED COMMUNITY.OUTCOME: WORK CONTINUED IN 2021 ON THE ACES INITIATIVE (ADVERSE CHILDHOOD EXPERIENCES). THE HCI COORDINATOR AND TWO ADDITIONAL KDH STAFF MEMBERS SERVE ON THE ACES STEERING COMMITTEE.ADDITIONAL INFORMATION: LEADERSHIP STAFF AT KDH VIEWED THE DOCUMENTARY RESILIENCE: THE BIOLOGY OF STRESS & THE SCIENCE OF HOPE. THE HCI COORDINATOR BECAME A CERTIFIED ACE INTERFACE MASTER TRAINER TO PROVIDE ACES TRAINING FOR LOCAL GROUPS.THE KDH FOUNDATION OBTAINED A GRANT FROM THE LOCAL COMMUNITY FOUNDATION TO CONDUCT AN ACES SURVEY IN JEFFERSON COUNTY, WHICH WILL HELP DETERMINE ADDITIONAL PROGRAMMING NEEDS. KDH SUPPORTED BY ADVERTISING THE SURVEY AND MAKING COPIES AVAILABLE AT VARIOUS FACILITIES. STRATEGY: SCREENING TOOLS WILL BE UTILIZED AT KDH. THIS INCLUDES THE USE OF: - ANNUAL DEPRESSION SCREENING TOOL USED IN THE OUTPATIENT PHYSICIAN OFFICES. - EVERY EMERGENCY ROOM PATIENT RECEIVES A SUICIDAL SCREENING TOOL TO ASSESS FOR SUICIDAL RISKOUTCOME: THE PHQ-9 DEPRESSION SCREENING TOOL CONTINUES TO BE USED IN KDH OUTPATIENT PROVIDER OFFICES.THE KDH EMERGENCY ROOM CONTINUES TO USE THE C-SSRS DEPRESSION ASSESSMENT TOOL FOR ALL PATIENTS (EXCEPT INFANT/TODDLERS) TO HELP MAKE APPROPRIATE MENTAL HEALTH REFERRALS.ADDITIONAL INFORMATION: IN 2021, 69.94% OF PATIENTS AGE 12 AND OLDER RECEIVED THE PHQ-9 SCREENING TOOL IN THE OUTPATIENT PROVIDER OFFICES. THIS PERCENTAGE INCREASED, WHICH WAS 58% IN 2020. PRIORITY AREA 3 TOBACCO USE - 2021, YEAR 2 UPDATESTRATEGY: TOBACCO AWARENESS EDUCATION, INCLUDING PREVENTION AND CESSATION FOCUSED INFORMATION PROVIDED TO YOUTH OF JEFFERSON COUNTY. OUTCOME: COMPLETED THE STANDARDIZED TOBACCO ASSESSMENT FOR RETAIL SETTINGS (STARS) SURVEY AGAIN IN 2021 AT ALL 39 TOBACCO RETAILERS IN JEFFERSON COUNTY. YOUTH TOBACCO CESSATION RESOURCES WERE GIVEN TO JEFFERSON COUNTY MIDDLE AND HIGH SCHOOL COUNSELORS. PROVIDED SECONDHAND-SMOKE EDUCATION AT JEFFERSON COUNTY 4-H FAIR. ADDITIONAL INFORMATION: STARS SURVEY DATA IS UTILIZED TO PRESENT POINT-OF-SALE INFORMATION AND HOW TOBACCO PRODUCTS ARE MARKETED TO YOUTH.STRATEGY: TOBACCO AWARENESS EDUCATION AND CESSATION RESOURCES PROVIDED TO EXPECTING MOTHERS IN JEFFERSON COUNTY.OUTCOME: WORK CONTINUED IN 2021 WITH THE LOCAL WIC PROGRAM TO HELP REFER CLIENTS TO THE INDIANA TOBACCO QUITLINE. EXPECTING MOTHERS, FROM THE KDH OB/GYN OUTPATIENT DEPARTMENT WHO STATE THEY ARE TOBACCO USERS, ARE ALSO REFERRED TO THE TOBACCO QUITLINE.KDH HELPED TO ENROLL MOTHERS IN THE BABY & ME TOBACCO FREE PROGRAM. THE KDH TOBACCO COORDINATOR WORKED WITH THE PERINATAL EDUCATOR TO PROVIDE CESSATION LITERATURE TO TOBACCO USING EXPECTING MOTHERS DURING THEIR OB PREP VISIT PRIOR TO DELIVERY.ADDITIONAL INFORMATION: 2021 QUITLINE REFERRAL DATA AND BABY & ME TOBACCO FREE PROGRAM DATA WAS LOST WHEN KDH EXPERIENCED A COMPUTER SHUT-DOWN IN EARLY 2022. THE NUMBER OF REFERRALS FOR THESE PROGRAMS COULD NOT BE RECOVERED. THE INDIANA STATE DEPARTMENT OF HEALTH STOPPED FUNDING THE BABY & ME TOBACCO FREE PROGRAM IN 2021. THE TOBACCO COORDINATOR WAS ABLE TO OBTAIN A SEPARATE GRANT TO CONTINUE A TOBACCO CESSATION PROGRAM FOR NEW MOMS. STRATEGY: MEASURE AND WORK TO INCREASE REFERRALS TO THE INDIANA STATE TOBACCO QUITLINE.OUTCOME: THE NUMBER OF TOBACCO QUITLINE REFERRALS MADE BY KDH PROVIDERS FOR CALENDAR YEAR 2021 IS NOT AVAILABLE FOLLOWING THE COMPUTER SHUT-DOWN. ADDITIONAL INFORMATION: MONTHLY REFERRAL REPORTS WERE SENT TO ALL KDH PHYSICIANS AND NURSES WITH QUITLINE DATA.FAX REFERRALS TO THE QUITLINE FROM THE KDH CANCER TREATMENT CENTER CONTINUED THROUGH 2021 PRIORITY AREA 4 NUTRITION, PHYSICAL ACTIVITY, WEIGHT - 2021, YEAR 2 UPDATESTRATEGY: KDH WILL TAKE A LEAD ROLE FOR THE HEALTHY COMMUNITIES INITIATIVE HEALTHY LIFESTYLES TEAM. THIS TEAM INCLUDES WORK FOCUSING ON DISEASE PREVENTION, HEALTHY NUTRITION, PHYSICAL ACTIVITY, OBESITY, AND TOBACCO.OUTCOME: THE KDH WELLNESS COORDINATOR SERVES AS THE HEALTHY LIFESTYLES TEAM CHAIR. IN ADDITION, THE TOBACCO COORDINATOR IS ACTIVELY INVOLVED ON THIS TEAM.ADDITIONAL INFORMATION: 2021 HEALTHY LIFESTYLE ACCOMPLISHMENTS INCLUDED; - WORKING WITH THE LOCAL FARMER'S MARKET ON HEALTHY RECIPES.- HOLDING FIVE COMMUNITY WALKING EVENTS INCORPORATING CIGARETTE BUTT & LITTER CLEAN-UP. - HOSTING A COMMUNITY WALKING SCAVENGER HUNT.STRATEGY: TARGET AREA YOUTH WITH PROGRAMMING AIMED AT INCREASING PHYSICAL ACTIVITY AND TEACHING HEALTHY NUTRITION HABITS AT A YOUNG AGE. OUTCOME: THE KDH WELLNESS COORDINATOR TAUGHT THE FIT KIDS PROGRAM IN JEFFERSON COUNTY 5TH GRADE CLASSROOMS. THIS 4-LESSON EDUCATION PROGRAM TARGETS CHILDHOOD OBESITY BY TEACHING AGE-APPROPRIATE HEALTH, NUTRITION, AND EXERCISE LESSONS AND OFFERS TAKE HOME CHALLENGES FOR STUDENTS & FAMILIES. A LARGE HEALTHY YOUTH TAILGATE PARTY WAS HELD IN 2021 WHICH SERVED OVER 300 YOUTH AND GUARDIANS. TWENTY-TWO AGENCIES OFFERED INTERACTIVE BOOTHS WITH ACTIVITIES AND HEALTH INFORMATION. THE WELLNESS COORDINATOR CHAIRED THIS EVENT.CONTINUED |
| NORTON - KING'S DAUGHTERS' HEALTH, INC. | PART V, SECTION B, LINE 16J: AT THE TIME OF REGISTRATION, THE PATIENT IS OFFERED A PAMPHLET REGARDING THE POLICY, ELIGIBILITY REQUIREMENTS AND THE ASSOCIATED APPLICATION PROCESS. THE PATIENT MUST SIGN A FORM INDICATING THAT HE/SHE RECEIVED THIS INFORMATION. THE HOSPITAL ALSO HAS A REPRESENTATIVE ON SITE TO ASSIST PATIENTS WITH THE FINANCIAL AID APPLICATION PROCESS. PATIENTS ARE REMINDED TO CONTACT CUSTOMER SERVICE REGARDING FINANCIAL AID AND FEDERAL/STATE ASSISTANCE DIRECTLY ON THE PATIENT BILL ITSELF. THE HOSPITAL'S WEBSITE HAS A LINK TO THE FINANCIAL AID APPLICATION. IN ADDITION TO THE ACTIONS PREVIOUSLY LISTED, A FINANCIAL AID COUNSELOR WILL ATTEMPT TO MEET (DURING NORMAL BUSINESS HOURS) WITH ANY UNINSURED INPATIENT PRIOR TO DISCHARGE TO DISCUSS THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. |
| NORTON - KING'S DAUGHTERS' HEALTH, INC. | PART V, SECTION B, LINE 20E: AT THE TIME OF REGISTRATION, THE PATIENT IS OFFERED A PAMPHLET REGARDING THE POLICY, ELIGIBILITY REQUIREMENTS AND THE ASSOCIATED APPLICATION PROCESS. THE PATIENT MUST SIGN A FORM INDICATING THAT HE/SHE RECEIVED THIS INFORMATION. THE HOSPITAL ALSO HAS A REPRESENTATIVE ON SITE TO ASSIST PATIENTS WITH THE FINANCIAL AID APPLICATION PROCESS. PATIENTS ARE REMINDED TO CONTACT CUSTOMER SERVICE REGARDING FINANCIAL AID AND FEDERAL/STATE ASSISTANCE DIRECTLY ON THE PATIENT BILL ITSELF. THE HOSPITAL'S WEBSITE HAS A LINK TO THE FINANCIAL AID APPLICATION. IN ADDITION TO THE ACTIONS PREVIOUSLY LISTED, A FINANCIAL AID COUNSELOR WILL ATTEMPT TO MEET (DURING NORMAL BUSINESS HOURS) WITH ANY UNINSURED INPATIENT PRIOR TO DISCHARGE TO DISCUSS THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. |
| PART V, SECTION B, LINE 11 CONTINUED | PRIORITY AREA 4 NUTRITION, PHYSICAL ACTIVITY, WEIGHT -CONTINUEDADDITIONAL INFORMATION: FOR THE 2020-2021 SCHOOL YEAR, THE FIT KIDS IN-PERSON PROGRAM WAS OFFERED TO 14 DIFFERENT CLASSROOMS (284 STUDENTS). AN ADDITIONAL 5 CLASSROOMS (86 STUDENTS) RECEIVED TAKE-HOME FIT KIDS PROGRAM MATERIAL.IN ADDITION, THE KDH WELLNESS COORDINATOR HELPED PLAN AND PROMOTE THE PARK HOP FOR AREA YOUTH IN 2021. THIS EVENT PROMOTED THE VALUE OF PHYSICAL ACTIVITY AND INCENTIVIZED YOUTH AND THEIR FAMILIES TO VISIT AREA PARKS AND TRAILS.STRATEGY: KDH WELLNESS WILL HOST TWO COMMUNITY 5K RUN/WALK EVENTS TO ENCOURAGE PHYSICAL ACTIVITY.OUTCOME: KDH HOSTED THE ANNUAL RUN THE FALLS COMMUNITY 5K RUN/WALK IN SEPTEMBER. 137 PARTICIPANTS FINISHED THE OUTDOOR FITNESS EVENT.ADDITIONAL INFORMATION: DUE TO COVID AND THE CANCELLATION OF THE FALL GIRLS ON THE RUN SEASON, THE GOTR 5K EVENT WAS NOT HELD. KDH PROVIDED IN-KIND SUPPORT FOR A LOCAL 10K FITNESS EVENT, WHICH WAS CHAIRED BY THE WELLNESS COORDINATOR. PRIORITY AREA 5 DIABETES - 2021, YEAR 2 UPDATESTRATEGY: EMPLOYEE A FULL TIME DIABETES COORDINATOR AT KDH TO PROVIDE SERVICES FOR BOTH INPATIENTS AND OUTPATIENTS.OUTCOME: KDH CONTINUES TO EMPLOY A FULL TIME DIABETES EDUCATOR. ADDITIONAL INFORMATION: PATIENTS ARE REFERRED TO THE DIABETES EDUCATOR WHEN THEY HAVE A NEW DIAGNOSIS, COMPLICATIONS, A CHANGE IN THERAPY, AN A1C >9%, HAVE GESTATIONAL DIABETES, OR IF A PATIENT REQUESTS DIABETES EDUCATION. THE EDUCATOR ALSO PERFORMS CONTINUOUS GLUCOSE MONITORING STUDIES ON PATIENTS. STRATEGY: PROVIDE DIABETIC CONSULTS THROUGH POPULATION HEALTH PROGRAM, WORKING TO DECREASE A1C RATES AND INCREASE REFERRALS.OUTCOME: THE DIABETES EDUCATOR, WHO WORKS IN THE KDH QUALITY DEPARTMENT, WORKS DIRECTLY WITH THE POPULATION HEALTH NURSING STAFF. ADDITIONAL INFORMATION: AVERAGE A1C RATE:2019 - 33.53%. 2020 27.7%2021 24.23%(LOWER RATES INDICATE BETTER QUALITY)STRATEGY: PROVIDE COMMUNITY EDUCATION AND OUTREACH FOCUSING ON THE PREVENTION OF DIABETES, EARLY DETECTION, AND MANAGEMENT.OUTCOME: IN 2021, THE DIABETES EDUCATOR PROVIDED EDUCATION INFORMATION TO THE COMMUNITY AT THE 4H FAIR. IN ADDITION, SHE SPOKE TO A GROUP OF RESIDENTS AT A SENIOR CITIZEN LIVING CENTER.ADDITIONAL INFORMATION: IN 2021, THE DIABETES COORDINATOR STARTED OFFERING FREE PRE-DIABETES EDUCATION TO COMMUNITY MEMBERS WHEN REFERRED BY A PHYSICIAN. PRIORITY AREA 6 HEART DISEASE & STROKE 2021, YEAR 2 UPDATESTRATEGY: OFFER A STRUCTURED POPULATION HEALTH PROGRAM, WHICH PROVIDES ANNUAL WELLNESS VISITS FOR AT-RISK INDIVIDUALS WITH A GOAL OF INCREASING PREVENTATIVE TESTING.OUTCOME: 903 ANNUAL WELLNESS VISITS WERE PROVIDED TO MEDICARE PATIENTS IN 2021.ADDITIONAL INFORMATION: IN 2021, 21 DIFFERENT SCREENING TOOLS RESULTED IN 672 TESTS OR IMMUNIZATIONS BEING ORDERED FOR PATIENTS DURING WELLNESS VISITS. STRATEGY: PROVIDE COMMUNITY AND/OR CORPORATE BLOOD PRESSURE CHECKS AT AREA HEALTH FAIRS AND SCREENS.OUTCOME: A CORPORATE HEALTH FAIR, INCLUDING BLOOD PRESSURE AND LIPID CHECKS WAS HELD FOR JEFFERSON COUNTY EMPLOYEES. BLOOD PRESSURE CHECKS WERE PROVIDED FOR VETERAN'S AND SPOUSES AT A REACHING RURAL VETERAN'S EVENT.ADDITIONAL INFORMATION: KDH TRAINED A TOTAL OF 1,051 PEOPLE IN 2021 IN AHA CLASSES (COMBINATION OF BLS, PALS, ACLS).STRATEGY: PROVIDE COMMUNITY EDUCATION AND OUTREACH FOCUSING ON THE PREVENTION AND WARNING SIGNS FOR HEART DISEASE AND STROKE.OUTCOME: THE WELLNESS COORDINATOR HAD NINE COMMUNITY PRESENTATIONS RELATED TO HEART DISEASE PREVENTION. ADDITIONAL INFORMATION: A NEW PARTNERSHIP WAS FORMED IN 2021 WITH THE INDIANA DEPARTMENT OF CORRECTIONS AND RIVER VALLEY RESOURCES. THE WELLNESS COORDINATOR BEGAN TEACHING A HEART HEALTH CLASS TWICE EACH MONTH TO LOCAL FEMALE OFFENDERS IN THE IDOC PRISON SYSTEM. PRIORITY AREA 7 CANCER 2021, YEAR 2 UPDATESTRATEGY: OFFER A MINIMUM OF ONE CANCER-SPECIFIC SCREENING EVENT.OUTCOME: TAKE-HOME COLO-RECTAL SCREENING KITS WERE DISTRIBUTED IN THE MONTH OF MARCH THROUGH PROVIDER OFFICES. A TOTAL OF 36 KITS WERE SUCCESSFULLY RETURNED TO THE LAB FOR PROCESSING. PATIENT FOLLOW-UP WAS PROVIDED FOR ALL POSITIVE TESTS.STRATEGY: OFFER A SUPPORT GROUP FOR CANCER SURVIVORS.OUTCOME: ONE WOMEN & CANCER SUPPORT GROUP WAS HELD AT KDH IN 2021. ADDITIONAL INFORMATION: ATTENDANCE WAS IMPACTED FOR SUPPORT GROUP MEETINGS DUE TO COVID CONCERNS.IN ADDITION, LOW LEVEL EXERCISE CLASSES WERE OFFERED AT NO COST FOR CANCER PATIENTS WITH FUNDING PROVIDED BY THE KDH FOUNDATION. THESE CLASSES PROVIDE EMOTIONAL AND SOCIAL SUPPORT FOR CANCER PATIENTS AND SURVIVORS. STRATEGY: PROVIDE COMMUNITY EDUCATION AND OUTREACH FOCUSING ON THE PREVENTION OF VARIOUS FORMS OF CANCER. OUTCOME: CANCER PREVENTION EDUCATION WAS PROVIDED TO THE COMMUNITY AT TWO COUNTY 4H FAIRS, THE JEFFERSON COUNTY RELAY FOR LIFE EVENT, THE KDH TO YOUR HEALTH PODCAST, AND PRESENTATIONS OFFERED BY THE WELLNESS COORDINATOR.ADDITIONAL INFORMATION: KDH STAFF ALSO RECEIVED SKIN CANCER PREVENTION INFORMATION AND FREE SUNSCREEN IN 2021. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - REHABILITATION CENTER AND HOME CARE | ||||
| 2670 N MICHIGAN ROAD | MADISON | IN | 47250 | OUTPATIENT REHABILITATION CENTER AND HOME CARE SERVICES |
| 2 - CONVENIENT CARE CENTER | ||||
| 445 CLIFTY DRIVE | MADISON | IN | 47250 | CONVENIENT CARE CENTER |
| 3 - VERSAILLES MEDICAL OFFICE BLDG-TYSON ST | ||||
| 206 W TYSON STREET | VERSAILLES | IN | 47042 | PHYSICIAN MEDICAL OFFICE |
| 4 - TRIMBLE COUNTY MEDICAL OFFICE BLDG | ||||
| 10235 US HIGHWAY 421 | MILTON | KY | 40045 | PHYSICIAN MEDICAL OFFICE |
| 5 - CARROLLTON MEDICAL OFFICE BLDG | ||||
| 205 MARWILL DRIVE | CARROLLTON | KY | 41008 | PHYSICIAN MEDICAL OFFICE |
| 6 - SWITZERLAND CNTY MEDICAL OFFICE BLDG | ||||
| 1190 WEST MAIN STREET | VEVAY | IN | 47043 | PHYSICIAN MEDICAL OFFICE |
| 7 - HANOVER MEDICAL OFFICE BLDG | ||||
| 36 MEDICAL PLAZA | HANOVER | IN | 47243 | PHYSICIAN MEDICAL OFFICE |
| 8 - DOWNTOWN MEDICAL OFFICE BLDG | ||||
| 630 NORTH BROADWAY | MADISON | IN | 47250 | PHYSICIAN MEDICAL OFFICE AND HOSPITAL STAFF |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7 CONTINUED | 5. HEALTHY COMMUNITIES INITIATIVE (HCI): EFFORTS ARE LED BY KING'S DAUGHTERS' HEALTH WHICH INCLUDE A PAID COORDINATOR FUNDED BY THE KDH FOUNDATION. HCI IS COMPRISED OF THREE TEAMS WHICH INCLUDE KDH STAFF AND COMMUNITY MEMBERS. 2021 HCI TEAM ACCOMPLISHMENTS:SUBSTANCE ABUSE TEAM:- A KDH PHYSICIAN AND PEDIATRIC SOCIAL WORKER SPOKE AT A TEAM MEETING.- RECEIVED A GRANT FOR INCENTIVE ITEMS TO ENCOURAGE YOUTH TO REMAIN DRUG FREE.- HCI COORDINATOR SERVES ON THE JEFFERSON COUNTY RESIDENTIAL TREATMENT FACILITY SUBCOMMITTEE. THIS GROUP IS INVESTIGATING THE FEASIBILITY OF AN IN-PATIENT FACILITY TO OFFER SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES.MENTAL HEALTH/ZERO SUICIDE TEAM:- RECOGNIZED MENTAL HEALTH AWARENESS MONTH AND SUICIDE AWARENESS MONTH.- WORK CONTINUED IN 2021 ON THE ACES INITIATIVE. TO SUPPORT THIS INITIATIVE, 40 DIRECTORS AND LEADERSHIP STAFF AT KDH VIEWED AN ACES RESILIENCE DOCUMENTARY. - A GRANT WAS SECURED FROM THE LOCAL COMMUNITY FOUNDATION TO CONDUCT AN ACES SURVEY IN JEFFERSON COUNTY. KDH ASSISTED WITH PROMOTION OF THIS SURVEY.HEALTHY LIFESTYLES TEAM: (OVERWEIGHT/OBESITY, TOBACCO, CHRONIC DISEASE)TEAM CHAIRED BY THE KDH WELLNESS COORDINATOR WITH ASSISTANCE FROM THE KDH TOBACCO COORDINATOR.- PARTNERED WITH A LOCAL AGENCY TO OFFER ANOTHER SPRING PARK HOP EVENT WHICH ENCOURAGED YOUTH AND THEIR FAMILIES TO EXPLORE AND USE PARKS IN JEFFERSON COUNTY. - ASSISTED THE LOCAL FARMER'S MARKET WITH HEALTHY RECIPE CARDS WHICH WERE DISTRIBUTED AT THE WEEKLY MARKET.- HELD FIVE LITTER AND CIGARETTE CLEAN-UP SITES ON EARTH DAY.- HOSTED A COMMUNITY WALKING HEALTHY SCAVENGER HUNT.- HOSTED A HEALTHY YOUTH TAILGATE PARTY. THIS EVENT SERVED OVER 300 YOUTH AND GUARDIANS. A TOTAL OF 22 AGENCIES AND 50 VOLUNTEERS OFFERED GAMES AND ACTIVITIES THAT OFFERED HEALTH RESOURCES AND HEALTH EDUCATION. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY BUILDING ACTIVITIES PROMOTED THE HEALTH OF THE COMMUNITY IN THE FOLLOWING WAYS:- ASSISTING COMMUNITY MEMBERS WITH MEDICAID PROGRAM ENROLLMENT VIA A FORMAL MEDICAID ENROLLMENT ASSISTANCE PROGRAM OFFERED BY THE HOSPITAL. THIS PROGRAM HELPS COMMUNITY MEMBERS ENROLL TO RECEIVE ALL TYPES OF MEDICAID ASSISTANCE (FOOD, HEALTHCARE, ETC.). |
| PART III, LINE 2: | IN 2018, THE HOSPITAL ADOPTED THE NEW REVENUE RECOGNITION ACCOUNTING STANDARD ISSUED BY FASB AND CODIFIED IN THE FASB ASC AS TOPIC 606 ("ASC 606"). AS A RESULT OF ADOPTING ASC 606, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR BAD DEBTS IN THE AUDITED FINANCIAL STATEMENTS (STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS) IS NOW REFLECTED AS IMPLICIT PRICE CONCESSIONS (AS DEFINED BY ASC 606) AND THEREFORE INCLUDED AS A REDUCTION TO NET PATIENT SERVICE REVENUE.UPON ADOPTION OF ASC 606, NET PATIENT SERVICE REVENUES ARE RECORDED AT THE TRANSACTION PRICE ESTIMATED BY THE HOSPITAL TO REFLECT THE TOTAL CONSIDERATION DUE FROM PATIENTS AND THIRD-PARTY PAYORS IN EXCHANGE FOR PROVIDING GOODS AND SERVICES IN PATIENT CARE. THE TRANSACTION PRICE, WHICH INVOLVES SIGNIFICANT ESTIMATES, IS DETERMINED BASED ON THE HOSPITAL'S STANDARD CHARGES FOR THE GOODS AND SERVICES PROVIDED, WITH A REDUCTION RECORDED FOR PRICE CONCESSIONS RELATED TO THIRD-PARTY CONTRACTUAL ARRANGEMENTS AS WELL AS PATIENT DISCOUNTS AND OTHER PATIENT PRICE CONCESSIONS. THE HOSPITAL DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. THE HOSPITAL DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS.THE AMOUNT REPORTED ON LINE 2 IS "IMPLICIT PRICE CONCESSIONS" AS REFLECTED ON THE AUDITED, CONSOLIDATED TRIAL BALANCE FOR THE HOSPITAL. THE SPECIFIC AMOUNT OF IMPLICIT PRICE CONCESSIONS IS NOT REQUIRED TO BE DISCLOSED IN THE AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 3: | THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY WHICH STATES THAT TO PARTICIPATE IN CHARITY CARE CANDIDATES MUST COOPERATE FULLY. IN ADDITION THE HOSPITAL EDUCATES PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE. FOR THIS REASON THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE. |
| PART III, LINE 4: | IN 2018, THE HOSPITAL ADOPTED THE NEW REVENUE RECOGNITION ACCOUNTING STANDARD ISSUED BY FASB AND CODIFIED IN THE FASB ASC AS TOPIC 606 ("ASC 606"). AS A RESULT OF ADOPTING ASC 606, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR BAD DEBTS IN THE AUDITED FINANCIAL STATEMENTS (STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS) IS NOW REFLECTED AS IMPLICIT PRICE CONCESSIONS (AS DEFINED BY ASC 606) AND THEREFORE INCLUDED AS A REDUCTION TO NET PATIENT SERVICE REVENUE. THE SPECIFIC AMOUNT OF IMPLICIT PRICE CONCESSIONS IS NOT REQUIRED TO BE DISCLOSED IN THE AUDITED FINANCIAL STATEMENTS. PLEASE REFER TO THE ATTACHED AUDITED FINANCIAL STATEMENTS - PAGES 9-10 "PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE" PAGES 29-32 "NET PATIENT SERVICE REVENUE" |
| PART III, LINE 8: | THE MEDICARE COST REPORT WAS THE SOURCE OF INFORMATION REPORTED ON PART III LINE 6. |
| PART III, LINE 9B: | ALL UNINSURED PATIENTS RECEIVED AN AUTOMATIC 30% DISCOUNT FROM GROSS CHARGES. AT REGISTRATION, PATIENTS ARE NOTIFIED OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THEY ARE OFFERED PAMPHLETS DETAILING THE PROGRAM. IF THE PATIENT IS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE AND IS APPROVED FOR FINANCIAL ASSISTANCE, THE PATIENT WILL RECEIVE A DISCOUNT OF UP TO 100% ON THE OUTSTANDING ACCOUNT BALANCE. THE HOSPITAL WILL ATTEMPT TO COLLECT ANY BALANCE REMAINING ON THE UNINSURED ACCOUNT AFTER ALL FINANCIAL ASSISTANCE DISCOUNTS HAVE BEEN APPLIED USING A SERIES OF STATEMENTS, LETTERS, AND TELEPHONE CALLS. THE HOSPITAL WILL ALSO OFFER PATIENTS INTEREST-FREE EXTENDED PAYMENT PLANS. IF THE ACCOUNT REMAINS UNPAID, THE ACCOUNT MAY BE TURNED OVER TO A COLLECTION AGENCY. |
| PART VI, LINE 2: | THE HOSPITAL CONDUCTED ITS LATEST COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019. THE COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDES INFORMATION SO THAT THE COMMUNITY MAY IDENTIFY ISSUES OF GREATEST CONCERN AND DECIDE TO COMMIT RESOURCES TO THOSE AREAS, THEREBY MAKING THE GREATEST POSSIBLE IMPACT ON COMMUNITY HEALTH STATUS. THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS TOOK INTO .ACCOUNT INPUT FROM PERSONS IN THE COMMUNITY BY UTILIZING THE FOLLOWING COMPONENTS: TELEPHONE INTERVIEWS OF A RANDOM SAMPLE OF 200 INDIVIDUALS AGE 18 AND OLDER IN THE PRIMARY SERVICE AREA. NOTE THAT THE SAMPLE CONSISTED SOLELY OF AREA RESIDENTS AGE 18 AND OLDER. DATA ON CHILDREN WERE GIVEN BY PROXY BY THE PERSON MOST RESPONSIBLE FOR THAT CHILD'S HEALTHCARE NEEDS. ON-LINE KEY INFORMANT SURVEY DIRECTED AT PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BY KING'S DAUGHTERS' BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS THE COMMUNITY OVERALL. THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY, OR OTHER MEDICAL UNDERSERVED POPULATIONS.BASED ON THE INFORMATION GATHERED THROUGH THIS COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL WAS ABLE TO PUT TOGETHER A LIST OF "AREAS OF OPPORTUNITY" REPRESENTING SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. THE AREAS OF OPPORTUNITY WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA (PARTICULARLY NATIONAL DATA); THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. THESE ALSO TAKE INTO ACCOUNT THOSE ISSUES OF GREATEST CONCERN TO THE COMMUNITY STAKEHOLDERS (KEY INFORMANTS) GIVING INPUT TO THIS PROCESS.THE PRIORITIZATION OF THE HEALTH NEEDS IDENTIFIED IN THIS ASSESSMENT WAS DETERMINED BASED ON A PRIORITIZATION EXERCISE CONDUCTED AMONG COMMUNITY STAKEHOLDERS (REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS) IN CONJUNCTION WITH THE ADMINISTRATION OF THE ONLINE KEY INFORMANT SURVEY. IN THIS PROCESS, THESE KEY INFORMANTS WERE ASKED TO RATE THE SEVERITY OF A VARIETY OF HEALTH ISSUES IN THE COMMUNITY. INSOFAR AS THESE HEALTH ISSUES WERE IDENTIFIED THROUGH THE DATA ABOVE AND/OR WERE IDENTIFIED AS TOP CONCERNS AMONG KEY INFORMANTS, THEIR RANKING OF THESE ISSUES INFORMED THE FOLLOWING PRIORITIES:1. SUBSTANCE ABUSE2. MENTAL HEALTH3. TOBACCO USE4. NUTRITION, PHYSICAL ACTIVITY & WEIGHT5. DIABETES6. HEART DISEASE & STROKE7. CANCER8. RESPIRATORY DISEASES9. INJURY & VIOLENCE10. ACCESS TO HEALTHCARE SERVICES |
| PART VI, LINE 3: | -AT THE TIME OF REGISTRATION, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS DISCUSSED WITH EACH PATIENT. THE PATIENT IS OFFERED A PAMPHLET REGARDING THE POLICY, ELIGIBILITY REQUIREMENTS AND THE ASSOCIATED APPLICATION PROCESS. THE PATIENT MUST SIGN A FORM INDICATING THAT THEY RECEIVED THIS INFORMATION.-THE HOSPITAL HAS A REPRESENTATIVE ON SITE TO ASSIST PATIENTS WITH THE FINANCIAL AID APPLICATION PROCESS.-PATIENTS ARE REMINDED TO CONTACT CUSTOMER SERVICE REGARDING FINANCIAL AID AND FEDERAL/STATE ASSISTANCE DIRECTLY ON THE PATIENT BILL ITSELF.-THE HOSPITAL'S WEBSITE HAS A LINK TO THE FINANCIAL AID APPLICATION. |
| PART VI, LINE 4: | KDH PROVIDES HEALTH CARE SERVICES TO FIVE COUNTIES IN SOUTHERN INDIANA AND NORTHERN KENTUCKY. THE 2019 KDH COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED ITS PRIMARY SERVICE AREAS OF JEFFERSON AND SWITZERLAND COUNTIES IN INDIANA AND TRIMBLE COUNTY IN KENTUCKY. THE ADDITIONAL TWO COUNTIES (RIPLEY IN INDIANA AND CARROL IN KENTUCKY) HAVE MULTIPLE HEALTH CARE FACILITIES THAT CURRENTLY CONDUCT A CHNA. TO AVOID DUPLICATION, THE THREE PRIMARY COUNTIES DESCRIBED WERE INCLUDED IN THE 2019 KDH CHNA. A FEWDESCRIPTIVE DEMOGRAPHIC HIGHLIGHTS FOR THE THREE COUNTIES DEFINED AS THE "PRIMARY SERVICE AREA" INCLUDE:- POPULATION: 51,607 (JEFFERSON CO= 32,293, SWITZERLAND CO= 10,617, TRIMBLE CO= 8,697)- URBAN VS. RURAL CLASSIFICATION: 35.2% URBAN AND 64.8% RURAL- AGE GROUP PERCENT: AGE 0-17 WAS 22.0%, AGE 18-64 WAS 61.4%, AGE+65 WAS 16.6%- MEDIAN AGE: JEFFERSON CO= 40.6, SWITZERLAND CO= 40.0, TRIMBLE CO= 41.9- RACE: 95.9% WHITE, 1.5% BLACK, 1.2% OTHER RACE, 1.4% MULTIPLE RACES- PERCENT POVERTY: 15.2%- EDUCATION LEVEL: 13.4% OF POPULATION AGE 25+ WITHOUT A HIGH SCHOOL DIPLOMA OR EQUIVALENT UNEMPLOYMENT RATE: 4.0% |
| PART VI, LINE 5: | THE MAJORITY OF KING'S DAUGHTERS' HEALTH BOARD OF MANAGERS IS COMPRISED OF INDIVIDUALS WHO LIVE AND WORK IN THE HOSPITAL SERVICES AREA. THE MAJORITY OF THESE INDIVIDUALS ARE NEITHER EMPLOYEES, NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS. THE ORGANIZATION ALSO APPLIES A PORTION OF SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE. HISTORICALLY, KDH HAS EMPLOYED A FULL TIME COMMUNITY WELLNESS COORDINATOR. THIS POSITION PROVIDES OUTREACH SERVICES IN AREAS OF NEED TO THE COMMUNITIES WE SERVE. IN ADDITION TO THESE SERVICES, KDH ALSO SERVES AS THE FISCAL AGENT FOR VARIOUS GRANTS. ALL OF THESE SERVICES HELP US MEET THE IDENTIFIED NEEDS OF THE COMMUNITIES WE SERVE.PARTICIPATION IN THE BELOW COMMUNITY ORGANIZATIONS IS PART OF THE HOSPITAL'S INDIANA STATE DEPARTMENT OF HEALTH COMMUNITY BENEFIT PLAN AND GOALS.2021 KING'S DAUGHTERS' HEALTH OVERVIEW OF COMMUNITY BENEFIT ACTIVITIES1. SCREENINGS/HEALTH FAIRS/FLU SHOTSHEALTH SCREENS / FAIRS:- HOSTED A CORPORATE HEALTH SCREEN FOR EMPLOYEES OF JEFFERSON COUNTY WITH 65 PARTICIPANTS.- PARTICIPATED IN THE JEFFERSON AND RIPLEY COUNTY 4-H FAIRS. HEALTH EDUCATION INFORMATION WAS PROVIDED FOR FIVE EVENINGS AT EACH FAIR.- HOSTED AN EDUCATION TABLE WITH BLOOD PRESSURE CHECKS FOR THE NEW REACHING RURAL VETERAN'S EVENT. THIS IS IN PARTNERSHIP WITH PURDUE UNIVERSITY AND WAS HELD IN NOVEMBER AND DECEMBER.- A TOTAL OF 36 FREE TAKE-HOME COLORECTAL TESTING KITS WERE DISTRIBUTED. PATIENT FOLLOW-UP WAS PROVIDED FOR ALL POSITIVE TEST RESULTS.CORPORATE FLU SHOTS: 1 CORPORATE FLU SHOT CLINIC HELD WITH 10 EMPLOYEES RECEIVING THEIR FLU VACCINE. 2. COVID TESTING/VACCINES:KDH SERVED AS THE STATE TESTING SITE FOR OUR COUNTY.IN 2021, KDH PROVIDED 8,871 PCR COVID TESTS AND 19,960 RAPID COVID TESTS.IN ADDITION, IT IS ESTIMATED THAT KDH ADMINISTERED 8,000 COVID VACCINATIONS IN 2021. THESE WERE GIVEN TO EMPLOYEES, COMMUNITY MEMBERS AT OUR ON-SITE VACCINE CLINICS, WALK-INS AT OUR PHARMACY, AND ADDITIONAL VACCINES WERE ADMINISTERED AT FIVE CORPORATE LOCATIONS.3. COMMUNITY HEALTH EDUCATION OPPORTUNITIES/CLASSES/SPECIAL EVENTS:HEALTH/WELLNESS SPEAKING ENGAGEMENTSTHE WELLNESS COORDINATOR COMPLETED 15 COMMUNITY SPEAKING ENGAGEMENTS IN 2021. THESE FOCUSED ON WELLNESS AND DISEASE PREVENTION TOPICS SUCH AS; NUTRITION, HEART DISEASE, STRESS MANAGEMENT, PHYSICAL ACTIVITY, SELF-DEFENSE, ETC. FIT KIDS PROGRAM FOUR LESSON PROGRAM FOR AREA 5TH GRADE CLASSROOMS TARGETING CHILDHOOD OBESITY. LESSONS AND TAKE HOME CHALLENGES AND GUARDIAN INFORMATION FOCUSED ON EXERCISE AND HEALTHY EATING.OFFERED THE PROGRAM TO 5 SCHOOL SYSTEMS AND REACHED;-14 5TH GRADE CLASSES (284 STUDENTS AND TEACHERS). - AN ADDITIONAL 5 CLASSES (86 STUDENTS) WERE UNABLE TO OFFER THE FULL PROGRAM, SO THESE STUDENTS RECEIVED TAKE HOME EDUCATION MATERIALS.STRIVE FOR 5FIVE WEEK WEIGHT LOSS EDUCATION CLASS HELPS PARTICIPANTS LOSE AT LEAST 5 POUNDS. LESSONS FOCUS ON HEALTHY NUTRITION AND PHYSICAL ACTIVITY. ONE CLASS SERIES HOSTED IN 2021 WITH 6 CLASS PARTICIPANTS.TOBACCO CESSATION & EDUCATION:KING'S DAUGHTERS' HEALTH EMPLOYS A FULL TIME STATE GRANT FUNDED TOBACCO COORDINATOR. 2021 ACCOMPLISHMENTS INCLUDE:- KDH DOCUMENTED 244 ELECTRONIC PATIENT REFERRALS TO THE IN QUITLINE.- CONTRIBUTED TO WRITING THE MOM AND ME TOBACCO-FREE PROGRAM GRANT FOR THE KDH MOTHER BABY UNIT.- PROVIDED PHYSICIAN OFFICES WITH FOLDERS FOR PATIENTS THAT INCLUDED CESSATION RESOURCES.- ASSISTED IN IMPLEMENTING AND MAINTAINING THE HEALTH SYSTEMS CHANGE PROJECT FOR THE KDH CANCER CENTER TOBACCO CESSATION PROGRAM.- COLLABORATED WITH THE JEFFERSON COUNTY SCHOOLS TO EDUCATE SCHOOL COUNSELORS ON TOBACCO CESSATION RESOURCES AVAILABLE TO YOUTH. - PARTICIPATED IN MULTI-UNIT HOUSING SURVEYS IN JEFFERSON COUNTY AND OFFERED CESSATION RESOURCES TO TENANTS. ALSO PROVIDED TOBACCO RESOURCES TO LOW INCOME MOTHERS. - MAILED PACKETS OFFERING TOBACCO CESSATION AND ASSISTANCE WITH SMOKE-FREE POLICY IMPLEMENTATION TO NEARLY 100 JEFFERSON COUNTY EMPLOYERS. - PARTNERED WITH PURDUE EXTENSION TO HOLD AN E-CIGARETTE EDUCATION EVENT FOR ADULTS TO LEARN MORE ABOUT DANGERS OF VAPING, TRENDS IN SCHOOLS, WHAT PARENTS SHOULD LOOK FOR, AND HOW TO TALK TO TEENS ABOUT VAPING.CPR AND FIRST AID CLASSES: KDH SERVES AS AN AHA PROVIDER SITE HOSTING CPR/AED/FIRST AID COMMUNITY CLASSES AND BLS, PALS, AND ACLS TRAININGS FOR KDH EMPLOYEES AND AREA HEALTH CARE PROFESSIONALS AND COMMUNITY MEMBERS.IN 2021, A TOTAL OF 1,051 PEOPLE RECEIVED TRAINING AND AN E-COMPLETION CARD.FORMAL COMMUNITY CLASSES WERE NOT HELD ON-SITE DUE TO COVID.PRENATAL EDUCATION:OB PREP PROGRAM 385 EXPECTING MOTHERS PARTICIPATED IN AN EDUCATIONAL PREP VISIT PRIOR TO DELIVERY. IN ADDITION, 14 MOTHERS AND 14 SUPPORT PEOPLE ATTENDED THE CHILDBIRTH CLASS SERIES OFFERED BY KDH. MONTHLY "TO YOUR HEALTH" PODCAST: 30-MINUTE HEALTH EDUCATION PODCAST WITH VARIOUS TOPICS IS OFFERED EVERY MONTH ON A LOCAL RADIO STATION AND AVAILABLE TO LISTEN ON THE HOSPITALS' WEBSITE.KDH RUN THE FALLS 5K WALK/RUN:137 PEOPLE PARTICIPATED IN THIS COMMUNITY FITNESS EVENT HOSTED BY KDH. CANCER SUPPORT ACTIVITES:WOMEN AND CANCER SUPPORT GROUP, MET ONLY 1 TIME IN 2021 DUE TO COVID.NO ADDITIONAL CANCER-RELATED ACTIVITIES WERE DOCUMENTED IN 2021 DUE TO COVID.COMMUNITY COOKING CLASS:SUPPORTED A LOCAL HEALTHY COOKING DEMONSTRATION CLASS WITH PROMOTIONAL SUPPORT AND NUTRITION AND HEALTH EDUCATION WRITTEN MATERIALS AND HEALTHY RECIPE CARDS.EMPLOYEE HEALTH OPPORTUNITIES FOR KDH STAFF:WELLNESS NEWSLETTERS AND CALENDARS PROVIDED TO STAFF.WELLNESS COLUMN IN THE MONTHLY MONITOR NEWSLETTER.MONTHLY PADLET WELLNESS NEWSLETTER CREATED AND SENT TO ALL STAFF.FREE LIPID BLOOD TEST OFFERED FOR ALL STAFF WITH INSURANCE PREMIUM REDUCTION OPPORTUNITY.MONTH LONG STRESS LESS CAMPAIGN.WELLNESS GOAL SETTING OPPORTUNITY WITH INCENTIVE.FREE SUNSCREEN DISTRIBUTION FOR STAFF WITH SKIN CANCER PREVENTION EDUCATION.WALKING INCENTIVE CAMPAIGN HELD IN JUNE.FREE NICOTINE REPLACEMENT THERAPY PRODUCTS FOR STAFF WHEN REQUESTED.4. COMMUNITY SERVICE ACTIVITIES:ACTIVE ATTENDANCE AND PARTICIPATION IN THE FOLLOWING COMMUNITY COALITIONS/GROUPS:JCJTAP JEFFERSON COUNTY JUSTICE TREATMENT AND PREVENTION COALITIONMADISON CONSOLIDATED SCHOOLS WELLNESS COMMITTEEPURDUE EXTENSION HEALTH AND HUMAN SERVICES BOARDPARTNER AND HOST SITE FOR THE LEADERSHIP JEFFERSON COUNTY PROGRAMEMS STAND-BY AT ALL COMMUNITY ACTIVITIES:EMS PROVIDES STAND-BY COVERAGE AT ALL JEFFERSON COUNTY ACTIVITIES.ATHLETIC TRAINING/REHAB SERVICES SPORTS MEDICINE SERVICES WERE PROVIDED TO THREE JEFFERSON COUNTY SCHOOLS. IN ADDITION, SPEECH THERAPY SERVICES WERE PROVIDED TO RIPLEY CO. SCHOOL.SUPPORT TO VARIOUS AREA SCHOOLS WITH INTERNSHIPS:A TOTAL OF 179 COLLEGE STUDENTS WERE HOSTED FOR JOB SHADOW OPPORTUNITIES OR STRUCTURED INTERNSHIPS IN 2021. NO HIGH SCHOOL STUDENTS WERE PERMITTED FOR JOB SHADOW IN 2021 DUE TO COVID RESTRICTIONS. ART OF HEALING EXHIBITHOST A QUARTERLY ART SHOW FOR THE MADISON ART CLUB. VARIOUS PAINTINGS ARE ON DISPLAY IN THE HOSPITAL CAF AS PART OF THE ON-GOING ART OF HEALING EXHIBIT. |
| PART VI, LINE 6: | NA |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IN |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IHA HOSPITAL ASSISTANCE FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 NORTH MERIDIAN STREET SUITE 250 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 455573749 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $14,172 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | DONATION | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | FUNDS ARE NOT GRANTED BUT ARE DONATED. DONATIONS ARE DETERMINED ON A DISCRETIONARY BASIS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JONATHAN HANSON MD | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $241,417 | $0 | $214,129 | $0 | $552 | $0 | $14,250 | $0 | $23,524 | $0 | $493,872 | $0 | $0 | $0 |
| TINA HENDRICK MD | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $248,101 | $0 | $59,170 | $0 | $240 | $0 | $14,250 | $0 | $1,328 | $0 | $323,089 | $0 | $0 | $0 |
| CAROL DOZIER | ||||||||||||||
| PRESIDENT/CEO | $410,997 | $0 | $0 | $0 | $10,795 | $0 | $14,250 | $0 | $605 | $0 | $436,647 | $0 | $0 | $0 |
| JOHN PRICE | ||||||||||||||
| VP FINANCE | $254,351 | $0 | $300 | $0 | $20,532 | $0 | $12,932 | $0 | $7,136 | $0 | $295,251 | $0 | $0 | $0 |
| LISA MORGAN | ||||||||||||||
| VP OUTPATIENT SERVICES | $193,608 | $0 | $16,872 | $0 | $20,274 | $0 | $9,780 | $0 | $8,068 | $0 | $248,602 | $0 | $0 | $0 |
| DENINE FALLIS-HALLGARTH | ||||||||||||||
| VP PHYSICIAN PRACTICES | $157,570 | $0 | $300 | $0 | $20,532 | $0 | $8,123 | $0 | $8,683 | $0 | $195,208 | $0 | $0 | $0 |
| JENNIFER LITER | ||||||||||||||
| VP INPATIENT SERVICES | $160,314 | $0 | $300 | $0 | $19,860 | $0 | $8,377 | $0 | $25,250 | $0 | $214,101 | $0 | $0 | $0 |
| NATHAN POLLEY MD | ||||||||||||||
| EMPLOYED PHYSICIAN | $614,237 | $0 | $535,104 | $0 | $2,383 | $0 | $14,250 | $0 | $22,408 | $0 | $1,188,382 | $0 | $0 | $0 |
| THOMAS ECKERT MD | ||||||||||||||
| EMPLOYED PHYSICIAN | $427,236 | $0 | $266,814 | $0 | $1,715 | $0 | $14,250 | $0 | $9,637 | $0 | $719,652 | $0 | $0 | $0 |
| KENNETH MACKINLAY MD | ||||||||||||||
| EMPLOYED PHYSICIAN | $639,340 | $0 | $543 | $0 | $34,633 | $0 | $14,250 | $0 | $22,408 | $0 | $711,174 | $0 | $0 | $0 |
| RAYMONDA STEVENS MD | ||||||||||||||
| EMPLOYED PHYSICIAN | $493,269 | $0 | $472,699 | $0 | $552 | $0 | $14,250 | $0 | $0 | $0 | $980,770 | $0 | $0 | $0 |
| WILLIAM SKILES MD | ||||||||||||||
| EMPLOYED PHYSICIAN | $446,959 | $0 | $300 | $0 | $1,584 | $0 | $14,250 | $0 | $14,938 | $0 | $478,031 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7 | PHYSICIANS ARE ELIGIBLE FOR INCENTIVE COMPENSATION. THE PHYSICIAN IS COMPENSATED FOR EACH WORK RVU PERFORMED BY A PHYSICIAN IN A CALENDAR YEAR IN EXCESS OF THE PHYSICIAN'S WORK RVU INCENTIVE THRESHOLD FOR THE CALENDAR YEAR MULTIPLIED BY THE INCENTIVE RVU PAYMENT. NON-PHYSICIAN BONUS COMPENSATION IS DISCRETIONARY, SOLELY UP TO THE BOARD OF MANAGERS, AND THE CALCULATION FOR SAID BONUS COMPENSATION VARIES FROM YEAR TO YEAR. |
| ADDITIONAL SCHEDULE J DISCLOSURES | BOARD MEMBERS TINA HENDRICK, MD AND JONATHAN HANSON, MD LISTED ABOVE ARE EMPLOYED PHYSICIANS OF THE HOSPITAL. DR. HENDRICK AND DR. HANSON DO NOT RECEIVE COMPENSATION FOR SERVICES PROVIDED AS BOARD MEMBERS. THE COMPENSATION LISTED ABOVE FOR DR. HENDRICK AND DR. HANSON IS COMPENSATION RECEIVED FOR SERVICES PROVIDED AS EMPLOYED PHYSICIANS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIANA FINANCE AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 351602316 | BondIssuerEIN |
| CUSIP | 45471ACW0 | CUSIPNum |
| Bond Issued | 2010-11-03 | BondIssuedDt |
| Issue Price | $97,847,058 | IssuePriceAmt |
| Purpose | SEE PART VI | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $97,847,058 | TotalProceedsAmt |
| In Reserve Fund | $6,756,861 | InReserveFundAmt |
| Issuance Costs From Proceeds | $1,749,243 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $88,974,097 | CapitalExpendituresAmt |
| Other Spent Proceeds | $266,857 | OtherSpentProceedsAmt |
| Substantial Completion | 2013 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (1) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00560 | PrivateBusUseByOthersPct |
| Total Private Business Use | 0.00560 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | Yes (1) | ChangeInUseBondFinancedPropInd |
| Change In Use Bond Financed Prop | 0.01350 | ChangeInUseBondFinancedPropPct |
| Remedial Action Taken | 0 | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCH K PART I LINE A - PURPOSE | FormAndLineReferenceDesc |
| Explanation | THE PURPOSE OF THE BOND ISSUANCE IS TO FINANCE, REFINANCE, OR REIMBURSE A PORTION OF THE COSTS OF ACQUIRING, CONSTRUCTING, RENOVATING AND EQUIPPING VARIOUS HEALTH CARE FACILITIES OF THE HOSPITAL, INCLUDING A REPLACEMENT ACUTE CARE HOSPITAL FACILITY AND A MEDICAL OFFICE BUILDING. | ExplanationTxt |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| NATHAN POLLEY MD | |||||||
| EMPLOYED PHYSICIAN - TOP 5 HIGHEST COMPENSATED EMPLOYEE | MEDICAL EDUCATION LOAN REPAYMENT ASSISTANCE | Yes (X) | $10,000 | $4,062 | 0 | Yes (1) | Yes (1) |
| KENNETH MACKINLAY MD | |||||||
| EMPLOYED PHYSICIAN - TOP 5 HIGHEST COMPENSATED EMPLOYEE | CONTRACT EXECUTION LOAN | Yes (X) | $100,000 | $53,846 | 0 | Yes (1) | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $57,908 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| A DATTILO FRUIT COMPANY | |||
| VP OF OUTPATIENT SERVICES OF KDH HAS A PERCENTAGE OWNERSHIP INTEREST | $13,925 | LISA MORGAN WAS THE VICE PRESIDENT OF OUTPATIENT SERVICES WITH NORTON - KING'S DAUGHTERS' HEALTH, INC. LISA RETIRED FROM NORTON - KING'S DAUGHTERS' HEALTH, INC. IN OCTOBER 2021. LISA OWNS A PERCENTAGE INTEREST IN A. DATTIOL FRUIT COMPANY. NORTON - KING'S DAUGTHER'S HEALTH, INC. PURCHASED PRODUCE FROM A. DATTILO FRUIT COMPANY. NORTON - KING'S DAUGHTERS' HEALTH, INC. MADE PURCHASES TOTALING $13,925 IN 2021. | 0 |
| MCCUBBIN MOTORS | |||
| BOARD MEMBER IS THE SPOUSE OF THE PRESIDENT OF MCCUBBIN MOTORS, INC. | $16,599 | MARY KAY MCCUBBIN IS A NORTON - KING'S DAUGHTERS' HEALTH, INC. BOARD MEMBER. MARY KAY MCCUBBIN IS MARRIED TO THE FORMER PRESIDENT OF MCCUBBIN MOTORS, INC. MARY KAY AND HER HUBAND SOLD MCCUBBIN MOTORS IN MARCH OF 2021. HOWERVER, NORTON - KING'S DAUGHTERS' HEALTH, INC. UTILIZED MCCUBBIN MOTORS FOR SERVICING AND/OR REPAIR OF EMERGENCY VEHICLES AND VEHCILE LEASING SERVICES IN 2021. NORTON - KING'S DAUGHTERS' HEALTH, INC. PAID $16,599 TO MCCUBBIN MOTORS IN 2021 FOR THESE SERVICES. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION HAS UPDATED THE BYLAWS. |
| FORM 990, PART VI, SECTION A, LINE 6 | BETHANY HOLDING, LLC, AN INDIANA LIMITED LIABILITY COMPANY, IS THE SOLE MEMBER OF THE CORPORATION (THE "CORPORATE MEMBER"). NOTWITHSTANDING THE FOREGOING, ALL RIGHTS, POWER AND AUTHORITY OF BETHANY HOLDING LLC IN ITS CAPACITY AS THE MEMBER OF THE CORPORATION, WHETHER SET FORTH IN THE ARTICLES OF INCORPORATION, THESE BYLAWS, OR UNDER LAW, SHALL BE VESTED IN, AND EXCLUSIVELY EXERCISED BY, NORTON HEALTHCARE - INDIANA, INC., AN INDIANA NONPROFIT CORPORATION WHICH IS THE SOLE MEMBER OF BETHANY HOLDING, LLC. NORTON HEALTHCARE, INC., A KENTUCKY NONPROFIT CORPORATION IS THE SOLE CORPORATE MEMBER OF NORTON HEALTHCARE - INDIANA, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | SUBJECT TO POWERS RESERVED TO NORTON HEALTHCARE - INDIANA, INC., THE BUSINESS AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED AND CONTROLLED BY THE BOARD OF TRUSTEES. THE BOARD SHALL HAVE ALL OF THE DECISION-MAKING AUTHORITY, INCLUDING AUTHORITY TO DELEGATE, AND ALL OF THE POWER TO OPERATE THE CORPORATION WHICH A BOARD MAY LAWFULLY HAVE. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BOARD OF TRUSTEES OF NORTON HEALTHCARE - INDIANA, INC. SHALL APPOINT ALL TRUSTEES. IN ADDITION, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION SHALL SERVE AS AN EX-OFFICIO MEMBER OF THE BOARD OF TRUSTEES. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER SHALL HAVE VOTING RIGHTS IN THAT PERSON'S CAPACITY AS A MEMBER OF THE BOARD OF TRUSTEES AND ANY COMMITTEE ON WHICH THEY SERVE. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S MANAGEMENT. THE BOARD OF TRUSTEES RECEIVES A DRAFT COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES PRIOR TO FILING WITH THE IRS (UNLESS EXTENUATING CIRCUMSTANCES PREVENT THAT). CHANGES OR REVISIONS ARE SUGGESTED BY THE BOARD IF NECESSARY. THE 990 WILL BE REVIEWED AT THE NEXT BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | KING'S DAUGHTERS' HEALTH HAS A FORMAL CONFLICT OF INTEREST POLICY. THE CONFLICT OF INTEREST POLICY COVERS BOARD OF MANAGER MEMBERS, OFFICERS AND DIRECTORS. THE POLICY REQUIRES THE BOARD OF MANAGERS, OFFICERS AND DIRECTORS TO DISCLOSE ANNUALLY INFORMATION REGARDING THEIR INTERESTS AND THOSE OF THEIR FAMILY MEMBERS THAT COULD GIVE RISE TO CONFLICT. THIS INFORMATION IS TO BE DISCLOSED TO THE APPROPRIATE VICE PRESIDENT, THE PRESIDENT/CEO AND COMPLIANCE DEPARTMENT. SHOULD SUCH INFORMATION BE DISCLOSED, THE INTERESTED PERSON WILL REFRAIN FROM ANY SUBSEQUENT DISCUSSION AND DECISIONS RELATED TO THE OUTSIDE FIRM. AT SUCH TIME AS ANY MATTER COMES BEFORE THE BOARD OF MANAGERS CONCERNING AN EXISTING OR CONTEMPLATED TRANSACTION OR RELATIONSHIP BETWEEN THE HOSPITAL AND ANY PARTY MAY GIVE RISE TO A CONFLICT OF INTEREST 1.) THE BOARD OF MANAGERS MEMBER SHALL LEAVE THE MEETING DURING THE DISCUSSION OF AND THE VOTE ON THE TRANSACTION OR ARRANGEMENT. 2.) THE CHAIRPERSON OF THE BOARD OF MANAGERS SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. 3.) AFTER EXERCISING DUE DILIGENCE, THE BOARD OF TRUSTEES OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 4.) IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OF MANAGERS SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED MEMBERS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE HOSPITAL'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. TO ENSURE THE HOSPITAL OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED. THE PERIODIC REVIEWS INCLUDE, AT A MINIMUM, - 1.) WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION AND THE RESULT OF ARM'S LENGTH BARGAINING. 2.) WHETHER PARTNERSHIPS, JOINT VENTURES AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS CONFORM TO THE HOSPITAL'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT, OR IN AN EXCESS BENEFIT TRANSACTION. DISCIPLINARY AND CORRECTION ACTION, UP TO AND INCLUDING TERMINATION OF EMPLOYMENT, CAN BE TAKEN FOR FAILURE TO DISCLOSE A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE HOSPITAL'S BOARD OF MANAGERS REVIEWS ANNUAL CEO SURVEY INFORMATION FROM THE INDIANA HOSPITAL ASSOCIATION. THIS SURVEY COMPARES KDH'S CEO'S COMPENSATION WITH OTHER HOSPITAL CEO'S IN INDIANA. COMPARISONS ARE MADE WITH HOSPITALS THAT ARE IN KDH'S REGION IN INDIANA, HOSPITALS OF A SIMILAR SIZE, AND HOSPITALS THAT MIGHT REASONABLY BE EXPECTED TO COMPETE FOR SERVICES OF KDH'S CEO. THE BOARD OF MANAGERS, AFTER REVIEWING THE SURVEY AND A STATUS REPORT OF THE CEO'S ANNUAL GOALS, APPROVES THE CEO'S COMPENSATION. HOWEVER, PHYSICIAN BOARD MEMBERS WHO ARE ALSO HOSPITAL EMPLOYEES DO NOT PARTICIPATE IN VOTING FOR ANY CHANGES TO CEO COMPENSATION. MINUTES ARE TAKEN AT ALL OF THE BOARD OF MANAGERS MEETINGS AND EXECUTIVE SESSIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST, OR FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE FOR PUBLIC INSPECTION. THE FORM 990 TAX RETURN IS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN SUBSCRIBER SAVINGS CUMULATIVE ACCOUNT -61,242. |
| FORM 990, PART XI, LINE 2C, AUDIT OVERSIGHT | THE HOSPITAL'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE SELECTION OF AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM TO PERFORM THE ANNUAL AUDIT OF THE FINANCIAL STATEMENTS. THE FINANCE COMMITTEE ALSO IS RESPONSIBLE FOR OVERSIGHT OF THAT AUDIT PROCESS. THE TREASURER OF THE HOSPITAL'S BOARD OF MANAGERS SERVES AS THE CHAIR OF THE FINANCE COMMITTEE. THE FINANCE COMMITTEE REGULARLY MEETS EVERY OTHER MONTH, AND MEETS ONCE PER YEAR WITH THE INDEPENDENT AUDITORS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE KING'S DAUGHTERS' HOSPITAL FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 447 | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47250 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202148950 | EIN |
| Primary Activities | FUNDRAISING TO SUPPORT THE PROVISION OF HEALTHCARE SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 7 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |